IndividualActive
Adrienne Jacobs
NPI 1679608186 · Registered Dietitian · Ada, OK
Provider details
- NPI number
- 1679608186
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1427 (OK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1921 Stonecipher Blvd
Ada, OK 74820
Phone: (580) 421-4570
Fax: (580) 421-6283
Approximate (ZIP-level) locationGet directions
Mailing address
1921 Stonecipher Blvd
Ada, OK 74820
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.